HIM Coder, Per Diem

Overview

Summary:

Responsible for accurately assigning diagnostic and procedural codes to medical records, ensuring compliance with coding guidelines and regulatory requirements.

• Review medical records and extract relevant clinical information to assign appropriate diagnostic and procedural codes using coding systems such as ICD-10-CM, CPT, and HCPCS.
• Ensure accurate and detailed coding of medical data, adhering to established coding guidelines and industry standards.
• Follow coding and documentation guidelines set by regulatory bodies, including CMS, CPT, and other relevant coding authorities, to ensure compliance with healthcare regulations.
• Maintain the integrity and security of patient information and healthcare data throughout the coding process.
• Collaborate with clinical documentation specialists and healthcare providers to address documentation queries and obtain additional information for accurate coding.

Associate s Degree Health Information Management, CCS, or CCA coding credential required.

No

Experience

Experience in medical coding within a healthcare facility, such as hospitals, or Post acute settings, 3 years of experience required.

• In-depth knowledge of medical terminology, anatomy, physiology, and disease processes to accurately assign codes.
• Familiarity with coding systems, including ICD-10-CM, CPT, and HCPCS, and their application in healthcare settings.
• Understanding of regulatory guidelines and compliance requirements related to medical coding and documentation.
• Analytical and critical thinking skills to assess and validate coding accuracy.
• Excellent written and verbal communication skills to effectively communicate coding findings and recommendations.
• Proficiency in using coding software applications and electronic health record (EHR) systems.

• Standing:
  Occurring 3-33%
• Walking:
  Occurring 3-33%
• Sitting:
  Constantly 67-100%
• Lifting:
  Occasionally 3-33%; 20-35 lbs
• Carrying:
  Occasionally 3-33%; 20-35 lbs
• Pushing:
  Rarely Less than 2%
• Pulling:
  Rarely Less than 2%
• Climbing:
  Rarely Less than 2%
• Balancing:
  Occasional 3-33%
• Stooping:
  Occasional 3-33%
• Kneeling:
  Rarely Less than 2%
• Crouching:
  Rarely Less than 2%
• Crawling:
  Rarely Less than 2%
• Reaching:
  Occasional 3-33%
• Gross Manipulation (Handling):
  Constantly 67-100%
• Fine Manipulation (Fingering):
  Frequently 34-66%
• Feeling:
  Constantly 67-100%
• Foot Use:
  Rarely Less than 2%
• Vision - Far:
  Constantly 67-100%
• Vision - Near:
  Constantly 67-100%
• Talking:
  Constantly 67-100%
• Hearing:
  Constantly 67-100%

The Spaulding Rehabilitation Hospital Corporation is an Equal Opportunity Employer. By embracing diverse skills, perspectives and ideas, we choose to lead. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment.